Individual
ELIZABETH ANN PRIMIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
394 OCEAN AVE, MASSAPEQUA, NY 11758-5228
(516) 581-5257
Mailing address
394 OCEAN AVE, MASSAPEQUA, NY 11758-5228
(516) 581-5257
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
448422-1
NY
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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